Nostrils going upwards when smiling, can the nostrils muscles be cut from the cheek so the nostrils remain downwards? (Photo)

Question

Female 27

Eric M. Joseph, MD · Answer

Since everybody's nostrils are attached to their cheeks, it is impossible to make them static with smiling. It is more feasible to elevate a nasal tip appearance. I hope this helps. Sincerely, Dr Joseph

Burak Olgun, MD · Answer

Cutting muscle can be dangerous becuase it is a permanent approach, after that your smiling can be affected. You may try botox first of all you can see the result and after that a good plan can be done for you. Best luck.Hi from Turkey/İstanbul.

Wess Cohen, MD · Answer

Thank you for your question. Well, it appears that your nails are going up towards your cheek, it is actually that the tip of your nose is getting drawn down by the center. Your muscle can be separated from your nose during a rhinoplasty to prevent this affect. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Your nose is drooping with smiling because of poor tip support and this can also be improved with surgery. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Mats Hagstrom, MD (license on probation) · Answer

What you describe is not a viable option.
We generally do not make dynamic assessments in plastic surgery.
The impact of contracting muscles of facial expression is best left alone.
The only exception to this is the use of Botox, which is generally most indicated in the forehead, and around the eyes.
Paralyzing your smile, muscles will lead to an appears of having had a stroke.
Best,
Mats Hagstrom, MD

Nostrils going upwards when smiling, can the nostrils muscles be cut from the cheek so the nostrils remain downwards? (Photo)

Answers (5)

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